Psychiatric Services. CONTRACTOR shall provide psychiatric services that include psychiatric assessment, psychiatric treatment and psychiatric support services in accordance with all applicable laws and regulations. Psychiatric services shall include but not be limited to:
1. A psychiatric evaluation within twenty-four (24) hours of admission by a licensed psychiatrist. The initial psychiatric evaluation may be prepared by a Psychiatric Nurse Practitioner, and include a psychiatric history, diagnosis, and be completed in accordance with the current DSM/ICD-10. The initial psychiatric evaluation must be completed face to face and signed with an attestation by the licensed psychiatrist that they interviewed the Client and verified all information within the evaluation for the certification of medical necessity of acute psychiatric inpatient hospital services.
2. Psychiatric Services also include:
a. On-call psychiatric and medical coverage available twenty-four (24) hours a day/seven (7) days a week;
b. Medical history and physical examination of each COUNTY client within twenty-four (24) hours of admission.
c. Laboratory and diagnostic services as indicated throughout admission; this includes urine drug screens as applicable within the first twenty-four (24) hours of admission to assess underlying causes of the current crisis.
d. Assessment and re-assessment for voluntary and involuntary treatment;
e. Daily progress notes on all Clients by the Psychiatrist or a Nurse Practitioner working under the supervision of a psychiatrist as evidenced by psychiatrists countersigning the progress note(s);
3. A psycho-social assessment completed within forty-eight (48) hours of admission;
4. Psychometrics upon admission to gather clinical baseline and inform treatment decision-making and evidence-based practices;
5. Initiation of an ITP of each new Client within twenty-four (24) hours of admission;
6. An ITP for each Client must be completed with signatures of the treatment team and the Client (or explanation of inability to obtain) within seventy-two (72) hours of admission. All psychiatric, psychological, and social services must be compatible with the ITP;
7. Medication Services, including ongoing psychiatric medication evaluation and monitoring;
8. Nursing, psychological, and social interventions compatible with ITPs;
Psychiatric Services. Access to 24/7 psychiatric service provision is required as well as crisis and after-hours coverage. Psychiatry services should be available absent other specialty mental health services provision for ongoing medication management.
Psychiatric Services. Psychiatric services are defined as various professional activities or methods, performed by a licensed physician with expertise in mental/behavioral health care as evidenced by:
a) Certification in Child and Adolescent Psychiatry by the American Board of Psychiatry and Neurology (ABPN), or
b) Certification in general psychiatry by the ABPN and clinical experience with children and adolescents.
c) Services may include diagnostic assessment, individual psychotherapy with evaluation and management, medication review with minimal psychotherapy, individual or group therapy with the resident(s) and consultation with agency staff. Telepsychiatry may be used when a local psychiatrist is not available. If telepsychiatry is utilized the provider must follow general clinical guidelines for this technology. All services (in- person or telehealth) must be HIPAA compliant.
i. The Contractor must provide psychiatric services to an individual youth, on an as needed basis, according to the youth’s treatment plan. The Contractor must engage the parent(s), medical and educational staff and any other relevant individuals involved in the youth’s treatment in the initial and ongoing evaluation process.
ii. The Contractor must provide psychiatric consultation or supervision of Contractor staff as necessary to assist staff in understanding the results of the psychiatric evaluation(s), implications for the youth’s treatment and identification of treatment interventions most appropriate for the youth.
iii. Psychotropic Medication must only be prescribed or adjusted by a youth’s psychiatrist or a psychiatrist with experience working with children and adolescent youth or the youth’s primary care physician if a psychiatrist is not available via telepsychiatry. Proper informed consent must be obtained. The Contractor must follow JRM 381, Medication Administration and related policy items.
iv. Within 24 hours of admission, a telephone call between the nursing staff of the accepting and referring programs (residential or hospital), at a minimum is to be held. The conversation must include:
a. A review and reconciliation of all medications.
b. The supply of medication that is accompanying the youth, including medications, prescriptions, or refills available to fill or transfer.
c. The overall health status of the youth, including current treatment and any diagnostic work up that will not be complete at the time of transition and any urgent needs.
d. A list of any ongoing laboratory or ot...
Psychiatric Services. Psychiatric services provided by a Texas licensed psychiatrist or mid- level practitioner who is qualified by education and/or experience to evaluate and treat Youth. These services include case consultation, psychiatric evaluation, diagnosis, treatment with psychotropic medication and other treatment recommendations and interventions to address youth’s identified mental disorder(s) that have an adverse impact on the individual's activities of daily living and functioning within TJJD operated facilities. They specifically include:
1. Psychiatric diagnostic interviewing, evaluation, and treatment of mental disorders in accordance with DSM 5 criteria and current trauma-informed clinical practices;
2. Psychotropic medication initiation, continuation. adjustment, and overall management as clinically indicated for treatment of mental disorders;
3. Participation with TJJD psychologists and other UTMB CMC health care and TJJD direct care staff in the multidisciplinary treatment planning efforts for youth with DSM-5 disorders and previous complex developmental trauma;
4. Recommendations for continuity of mental health and psychiatric aftercare services for youth identified to have psychiatric disorder(s) prior to release from a TJJD state school facility;
5. Provision of psychiatric evaluation and follow-up evaluations to include diagnostic interviews and mental status examinations, assessment of current signs and symptoms of DSM-5 disorders, and evaluation of a youth’s imminent risk of harm to self or others;
6. Additional consultation, recommendations, and coordination with TJJD Psychology services and the TJJD Medical Director, Nursing, and Central Leadership for clinical services, further clinical management and case consultation regarding suicide prevention and intervention strategies, post-release and discharge planning, and other disposition and treatment recommendations.
Psychiatric Services. Benefits for in-patient and out-patient mental health care and substance abuse services shall be as outlined in Appendix J.
Psychiatric Services. Access to psychiatric service provision is required as well as crisis and after-hours coverage. Psychiatry services should be available absent other specialty mental health services provision for ongoing medication management.
Psychiatric Services. When a youth transitions from the Contractor’s residential program to a hospital (general medical or psychiatric), the Contractor’s nurse will contact the hospital nursing staff (emergency department or floor/unit to which the youth is admitted) to coordinate care. This conversation must include:
Psychiatric Services. The Contractor is required to provide limited psychiatric services as specified in MCO Policy and Procedure Guide. The following treatment services will be reimbursed by Department on a fee-for- service basis: Hospital Services (UB04 claims) Hospital Services provided at a psychiatric hospital in accordance with MCO Policy and Procedure Guide Physician/Clinic (CMS 0000 xxxxxx) Physician Services provided by the Department of Alcohol and Other Drug Abuse Services (DAODAS); Services provided by the Department of Mental Health (DMH).
Psychiatric Services. Medically Necessary diagnostic services, treatment and other measures used for the purpose of correcting or ameliorating physical and/or mental illnesses and conditions which left untreated, would negatively impact the health and quality of life of Member. The CONTRACTOR shall: Be responsible for the full array of behavioral health services set forth in the Medicaid Managed Care Policy and Procedure Manual and the Department’s Licensed Independent Practitioner Manual, the Physicians, Laboratories, and Other Medical Professionals Provider Manual—such as the Rehabilitative Behavioral Health Services Manual.
Psychiatric Services. CONTRACTOR shall provide psychiatric services that include psychiatric assessment, psychiatric treatment and psychiatric support services in accordance with all applicable laws and regulations. Psychiatric services shall include but not be limited to:
1. A psychiatric evaluation within twenty-four (24) hours of admission by a licensed psychiatrist. The initial psychiatric evaluation may be prepared by a Psychiatric Nurse Practitioner, and include a psychiatric history, diagnosis, and be completed in accordance with the current DSM/ICD-10. The initial psychiatric evaluation must be completed face to face and signed with an attestation by the licensed psychiatrist that they interviewed the Client and verified all information within the evaluation for the certification of medical necessity of acute psychiatric inpatient hospital services.
2. Psychiatric Services also include:
a. On-call psychiatric and medical coverage available twenty-four (24) hours a day/seven (7) days a week;
b. Medical history and physical examination of each COUNTY client within twenty-four (24) hours of admission.
c. Laboratory and diagnostic services as indicated throughout admission; this includes urine drug screens as applicable within the first twenty-four (24) hours of admission to assess underlying causes of the current crisis.
d. Assessment and re-assessment for voluntary and involuntary treatment;
e. Daily progress notes on all Clients by the Psychiatrist or a Nurse Practitioner working under the supervision of a psychiatrist as evidenced by psychiatrists countersigning the progress note(s);
3. A psycho-social assessment completed within forty-eight (48) hours of admission;
